Comparison of Open and Closed Aspiration in Newborns

Effect of Open and Closed Suction Systems on Newborn's Pain and Vital Signs in Neonatal Intensive Care

Endotracheal aspiration is a necessary procedure performed by nurses in neonatal intensive care units to increase oxygenation and remove secretions from the airways. It is one of the painful procedures that most frequently causes stress in intubated newborns.

The aim of this study is to examine the effect of open and closed system suction, which is one of the invasive procedures frequently applied in neonatal intensive care, on the baby's pain and vital signs. There is a need for innovative, evidence-based practices to be implemented by nurses in clinics to minimize complications related to endotracheal suction.

Inclusion Criteria:

• Newborns monitored with mechanical ventilation
• Newborn who need suctioning,
• Newborn who did not undergo painful procedures one hour before aspiration.
• Hemodynamically stable newborn;

Exclusion Criteria:

• Newborn with any facial/skull deformities
• Newborn with chromosomal/genetic abnormalities